Healthcare Provider Details

I. General information

NPI: 1093050213
Provider Name (Legal Business Name): BRANDON BURKE ADAMS M.S., LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW STE 2044
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW STE 2044
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 360-389-7215
  • Fax:
Mailing address:
  • Phone: 360-389-7215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60299259
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: